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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1990;33(6): 1149-54. |
Clinical Evaluation of Post-Operative Bleeding after Tonsillectomy and/or Adenoidectomy |
Dong Hyouk Lee, MD, Chang Su Ahn, MD, Bum Gue Cho, MD, Yong Kee Chang, MD, Dong Ha Chi, MD, Won Yong Lee, MD, and Chong Ae Kim, MD |
Department of Otolaryngology, Wallace Memorial Baptist Hospital, Busan, Korea |
편도적출술후 출혈에 관한 임상적 고찰 |
이동혁 · 안창수 · 조범규 · 장용기 · 지동하 · 이원용 · 김종애 |
부산 침례병원 이비인후과 |
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ABSTRACT |
The retrospective study for evaluation of post-operative bleeding was performed on 403 cases of tonsillectomy and/or adenoidectomy for one year. The results obtained were as follows ; 1) Total number of post-operative bleeding were 10 cases(2.48%). The primary bleedings were 6 cases(1.49%) and secondary bleedings were 4 cases(0.99%). 2) In sex incidence, 8 cases were male and 2 cases were female. In age distribution the highest incidence was in the group of 21-25 and followed by group of 26-30 and 16-20. 3) There was no specific difference in post-operative bleeding incidence by operators, as seasons and types of anesthesia. 4) In 10 cases of post-operative bleeding, the number of post-tonsillectomy bleeding were 8 cases and post-adenoidectomy bleeding were 2 cases. 5) In bleeding control methods during operation, the highest incidence was in compression method(25%) and followed by ligation of vessels(2.86%) and electrocoagulation(2.70%). 6) In 16 cases which had abnormal pre-operative laboratory findings(2 cases of prolonged coagulation time and 14 cases of abnormal count of platelet), no post-operative bleeding case was noted. 7) In pre-operative and post-operative systolic and diastolic blood pressure, pre-operative values for the bleeders did not differ from those for the total population, but post-operative values were significantly higher for the bleeding group.
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Keywords:
Evaluation of post-tonsillectomy bleeding. |
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